| NPI | 1639478209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA NICOLE MORRISON Owner 910-429-3425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NC HC4309) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |